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Understanding the Puzzle Behind Lower Vaccination Use: A Case Study of India

Research Project

Project/Area Number 21K13307
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 07040:Economic policy-related
Research InstitutionRitsumeikan University (2023)
Asian Growth Research Institute (2021-2022)

Principal Investigator

SUR PRAMOD KUMAR  立命館大学, 食マネジメント学部, 准教授 (30845037)

Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2023: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2022: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2021: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
KeywordsVaccination / Immunization / Child mortality / Health Care Usage / India / Vaccine Hesitancy / Forced Sterilization / Child Mortality / Institutional Delivery / Trust in Institution / Economic History / Antenatal Care / Persistence / Healthcare
Outline of Research at the Start

India's vaccination rate is one of the lowest in the world. This is puzzling because India has an established Universal Immunization Program since 1985, and vaccinations are offered free. The primary aim of this research is to examine and understand the reasons for this practice.

Outline of Final Research Achievements

The primary purpose of this project is to understand and examine the puzzle behind lower vaccination use considering India as a case study. I examine the case of India because it (1) contributes to the largest pools of under-vaccinated children in the world, (2) accounts for one-third of the annual vaccine-preventable child deaths globally, and (3) among one of the lowest vaccination rates in the world.
I have published three working papers out of this project. They are currently under review for publication in peer-reviewed journals.

Academic Significance and Societal Importance of the Research Achievements

Considering the significant cost associated with poor vaccination, this research offers important implications for policymakers in understanding the factors affecting the vaccination rate in India and carving out a pragmatic policy to maximize the uptake of existing as well as any new vaccines.

Report

(4 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • Research Products

    (34 results)

All 2024 2023 2022 2021

All Journal Article (2 results) (of which Open Access: 2 results) Presentation (32 results) (of which Int'l Joint Research: 14 results,  Invited: 9 results)

  • [Journal Article] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Journal Title

      Asian Growth Research Institute Working Paper

      Volume: 2021-3

    • Related Report
      2021 Research-status Report
    • Open Access
  • [Journal Article] Understanding the Puzzle of Primary Health-care Use: Evidence from India.2021

    • Author(s)
      Pramod Kumar Sur
    • Journal Title

      Asian Growth Research Institute Working Paper

      Volume: 2021-4

    • Related Report
      2021 Research-status Report
    • Open Access
  • [Presentation] The Political Origin of Missing Women2024

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Saga University Seminar
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] The Political Origin of Missing Women2024

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Yokohama National University
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] The Political Origin of Missing Women2023

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      SWET 2023, Otaru University of Commerce
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Who Should be the Leader. Vertical Diversity Based on Nationality and Team Performance2023

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      AASLE, National Taiwan University
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Understanding Vaccine Hesitancy2023

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Kansai Labor Economics Seminar
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] The Political Origin of Missing Women2023

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Sophia University
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] Understanding Vaccine Hesitancy2023

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Kyoto University
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] Understanding Vaccine Hesitancy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Indian Society of Labour Economics
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] The Legacy of Authoritarianism in a Democracy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      German Development Economics Conference
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding Vaccine Hesitancy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Society of Institutional and Organizational Economics
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding the Paradox of Primary Health-care Use2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Ritsumeikan University
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] The Legacy of Authoritarianism in a Democracy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Econometric Society South East Asian Meeting
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding Vaccine Hesitancy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      100 Years of Economic Development-Cornell University
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] The Legacy of Authoritarianism in a Democracy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      JASAS
    • Related Report
      2022 Research-status Report
  • [Presentation] Understanding the Paradox of Primary Health-care Use2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Tokushima University
    • Related Report
      2022 Research-status Report
  • [Presentation] Understanding Vaccine Hesitancy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Konan University
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] The Legacy of Authoritarianism in a Democracy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      PIPCOSS
    • Related Report
      2022 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding Vaccine Hesitancy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Yokohama National University
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] Understanding Vaccine Hesitancy2022

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Kyushu University
    • Related Report
      2022 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Japanese Association for Development Economics (JADE)
    • Related Report
      2021 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Osaka University
    • Related Report
      2021 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      HItotsubashi University
    • Related Report
      2021 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Japanese Economic Association, Spring Meeting
    • Related Report
      2021 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Nordic Conference in Development Economics (NCDE)
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Kyushu University
    • Related Report
      2021 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      European Economic Association-Econometric Society European Meeting
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding the Puzzle of Primary Health-care Use: Evidence from India2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      第24回労働経済学カンファレンス
    • Related Report
      2021 Research-status Report
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Summer Workshop on Economics at Otaru
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      North East Universities Development Consortium (NEUDC)
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding the Puzzle of Primary Health-Care Use: Evidence from India2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Southern Economic Association
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Understanding the Puzzle of Primary Health-Care Use: Evidence from India2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Asian and Australasian Society of Labour Economics
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] Why is the Vaccination Rate Low in India?2021

    • Author(s)
      Pramod Kumar Sur
    • Organizer
      Annual Conference on Economic Growth and Development ISI-Delhi
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research

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Published: 2021-04-28   Modified: 2025-01-30  

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